The HIV and social protection assessment tool is used for a quick scan of existing social protection programmes and their sensitivity (or lack of) to the HIV response in a given country and location. It provides countries and communities with tailored analysis on HIV and social protection.
Adolescents in Eastern and Southern Africa (ESA) are key to achieving the global goal of ending the AIDS epidemic by 2030. ESA is home to 1.74 million adolescents living with HIV (ALHIV), representing 60 per cent of this population globally. In 12 ESA countries, AIDS is the leading cause of adolescent mortality. While there is an increasing focus on adolescents, the pace of progress remains slow, especially when compared with the growing needs of ALHIV.
It is time to deliver programmes at scale to address the needs of ALHIV, accelerating evidence of interventions producing results or showing significant promise for scale. This document examines and consolidates the current experiences of ALHIV programming in the region to support further implementation and scale-up of evidence-driven models. The findings serve as a call to action and the key considerations as a guide for governments and funding and implementing partners in scaling up service delivery to ALHIV.
Adolescent and young mothers are a priority population for UNICEF in Eastern and Southern Africa, including those who are affected by HIV. In this region, one in four women aged 20-24 years gives birth before the age of 18 years and 30 per cent of all new HIV infections occur among adolescent girls and young women aged 15-24 years. Studies increasingly show poorer maternal, child and HIV outcomes for this age group as compared to older women. Together with governments and partners, UNICEF has been working to promote differentiated, evidence-based approaches to meet the complex needs of adolescent and young mothers in several countries across the region.
This newly released report describes these efforts in nine countries, highlighting the results achieved and the learning. Key insights include the importance of responsive service delivery and social support as well as working across sectors. Also offered are ways in which policy makers, researchers, programme managers and implementers can strengthen HIV and health services for adolescent and young mothers and their children.
The AGYW Programming & Implementation Repository contains resources relevant to AGYW programming that have been collated to support enhanced implementation and programming of Global Fund Catalytic Funding for HIV prevention among AGYW in Eastern and Southern Africa. Developed in collaboration with Global Fund in response to an identified need from the SEA sub-region, we are confident that you will all find the repository useful in your support of national AGYW programmes.
The repository is housed on Google Drive and is accessible without a Gmail account. The resources are organized in folders by key programming area and are easily searchable through a google sheet. Powerpoint slides have also been developed to help you navigate through the repository.
The spreadsheet and slideshow are available for download above.
The Learning Collaborative draws on scientific research published in the second quarter of 2019 to bring you short summaries of the following topics: PMTCT, HIV testing strategies, paediatric treatment, HIV prevention and treatment in adolescent girls and young women, adherence and retention in care, and global governance and financing for HIV.
Social Protection and HIV: Research Implications for Policy by UNICEF, the Eastern and Southern Africa Regional Inter-Agency Task Team on Children Affected by AIDS (RIATT-ESA) and the Coalition for Children Affected by AIDS contain the following six briefs:
1: How can Social Protection reduce adolescent HIV-risk?
2: Combination Social Protection improves adolescent ART-adherence
3: Combination Social Protection reduces HIV-risk in adolescents
4: Social Protection: potential for improving HIV outcomes among adolescents
5: Social Protection and the Sustainable Development Goals
6: Combination Social Protection lowers unprotected sex in HIV-positive adolescents
HIV-sensitive Social Protection: With focus on creating linkages between social cash transfer programmes and HIV services describes an intervention aiming to strengthen the linkages between HIV services and national social protection programmes and provides lessons learned from implementing the intervention in four countries. The focus of the programme is on families with children and adolescents, vulnerable to, or affected by HIV and AIDS. The programme, funded by the Government of the Netherlands, is now being implemented in Malawi, Mozambique, Zambia and Zimbabwe in close collaboration with national, provincial and district level governments.
This publication shares the perspectives of women from all over the world, including policymakers and researchers, doctors and campaigners who are helping lead the HIV response for women and children. Their testimonies illuminate and personalize the data and the narrative in the rest of the report.
Adolescents living with HIV have unique needs, and retention in care can be especially challenging for this population. Adolescent “teen clubs” can provide a source of social support that helps improve retention and adherence. HIV prevention among adolescents also remains challenging because there are multiple factors that can place adolescents at risk. Risk perception, especially among adolescent girls and young women (AGYW),remains low despite high levels of general knowledge about HIV. Further efforts are needed to support adolescents, especially AGYW, to understand and appreciate their own risk and to identify the most appropriate prevention strategies to protect themselves from acquiring HIV.
Towards an end to AIDS in children, adolescents and young women.